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1184761561
DEWANDA B. JACKSON
DECATUR, GA
NPI
1184761561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC002390)
Enumeration Date
2007-02-01
Last Update Date
2021-06-23
Business Address
Mrs. DEWANDA B. JACKSON LPC, CPCS, EAU-C
4319 COVINGTON HWY STE 110
DECATUR, GA 30035-1206
Phone number: 404-286-0054
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Mailing Address
Mrs. DEWANDA B. JACKSON LPC, CPCS, EAU-C
PO BOX 1501
LITHONIA, GA 30058-1007
Phone number: 404-286-0054
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